<div id="question" class="tabdiv clearfix" >

    <form id="question_form">
        <input type="hidden" name="from_page" value="<?= $page['title'] ?>">
        <fieldset>
            <legend><?= lang('dtl.question'); ?>?</legend>

            <p></p>

            <div class="clearfix">

                <div class="col-exc">

                    <label><?= lang('name'); ?>:</label>
                    <input type="text" placeholder="<?= lang('name') ?>" name='name' id='name' required>
                </div>

                <div class="col-exc pad-left">
                    <label><?= lang('surname'); ?>:</label>
                    <input type="text" placeholder="<?= lang('surname') ?>" name='surname' id='surname' required>
                </div>

            </div>
            <div class="clearfix">

                <div class="col-exc">

                    <label><?= lang('email'); ?>:</label>
                    <input type="email" placeholder="<?= lang('email') ?>"  name='email' id='email' required>

                </div>

                <div class="col-exc pad-left">

                    <label><?= lang('mobile_phone'); ?>:</label>
                    <input type="text" placeholder="<?= lang('mobile_phone') ?>"  name='mobile_phone' id='mobile_phone' required>

                </div>

            </div>


            <label><?= lang('note'); ?>:</label>
            <textarea cols="33" rows="8" name='note' id='note' required></textarea>

            <button type="submit" class="button-home"><?= lang('send'); ?></button>

        </fieldset>
    </form>

</div><!--question_tab-->